Booth, Kathryn G.

Booth, Kathryn G. is an individual health care provider with primary practice located at 5 Caldwell Rd , Augusta ME 04330-5739. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Booth, Kathryn G. can be contacted via phone (207) 623-1322.

Contact Information

Primary practice address
5 Caldwell Rd Augusta ME 04330-5739
Phone: (207) 623-1322
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X R024245 Maine

Profile Details

NPI number 1588642672
LBN Legal business name Booth, Kathryn G.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Nov 28th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588642672 NPPES
Maine Other 000975 ANTHEM
Maine MEDICAID 287710099 ANTHEM
Maine Other D03548 ANTHEM
Maine Other 1041748 ANTHEM
Maine Other 0449265 ANTHEM

Popular Providers